Provider Demographics
NPI:1952408866
Name:PROVISIONS CONSULTING INC
Entity Type:Organization
Organization Name:PROVISIONS CONSULTING INC
Other - Org Name:SARAH KOVICH LPC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:KOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:MED LPC
Authorized Official - Phone:972-385-6400
Mailing Address - Street 1:6370 LBJ FREEWAY
Mailing Address - Street 2:STE 272
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6419
Mailing Address - Country:US
Mailing Address - Phone:972-385-6400
Mailing Address - Fax:972-385-3907
Practice Address - Street 1:6370 LBJ FREEWAY
Practice Address - Street 2:STE 272
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6419
Practice Address - Country:US
Practice Address - Phone:972-385-6400
Practice Address - Fax:972-385-3907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10397101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty